We plan to treat her conservatively until she is asymptomatic, although further intervention in the form of removal of metalwork from her knee may have to be considered if the symptoms recur. F ig . 1. Radiograph of knee. [academic.oup.com]

Isotope scanning may present false-positive results: within the first postoperative year, increased scan activity may be present around 85–90 % of tibial and 60–65 % of femoral components in asymptomatic knees [ 23 ]. [ncbi.nlm.nih.gov]

Poor nutrition, anemia, liver disease, kidney disease, or other health issues are also risk factors. [healthcare.utah.edu]

[…] at 19 years afterwards, the other described how she never reached her expected “Nirvana” of two years to fully recover after the primary replacement, and despite questioning clinicians, was eventually admitted to hospital by emergency ambulance after collapsing [bmcmusculoskeletdisord.biomedcentral.com]

In addition to joint pain, symptoms can include red, irritated eyes; genital discharge; swollen fingers; and skin problems, such as rashes. [arthritis-health.com]

These include anesthesia reactions, blood clots, heart attack and stroke. There are also some risks specific to the procedure, such as nerve damage and nerve block complications. [drugwatch.com]

More uncommon species include Coccidioides immitis, Sporothrix schenckii, and Blastomyces dermatitidis. Figure 4. Preformed cement spacer with amphotericin B and fluconazole in a prosthesis with fungal infection. [intechopen.com]

The histopathology report of the knee tissue, tibia, and femur bone specimens showed multiple well-formed nonnecrotizing granulomas surrounded by lymphocytic infiltrate and fibrosis. [jcm.asm.org]